{"id":1388,"date":"2017-05-04T10:47:56","date_gmt":"2017-05-04T07:47:56","guid":{"rendered":"http:\/\/www.bulentsekerel.com\/?page_id=1388"},"modified":"2017-05-04T10:47:56","modified_gmt":"2017-05-04T07:47:56","slug":"alerjik-rinit-hakkinda-sik-sorulan-sorular","status":"publish","type":"page","link":"https:\/\/bulentsekerel.com\/index.php\/alerjik-rinit-hakkinda-sik-sorulan-sorular\/","title":{"rendered":"Alerjik Rinit Hakk\u0131nda S\u0131k Sorulan Sorular"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_image-3367f366cd93c2ca2ad94051d7e70adf\">\n.avia-image-container.av-av_image-3367f366cd93c2ca2ad94051d7e70adf img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-av_image-3367f366cd93c2ca2ad94051d7e70adf .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-av_image-3367f366cd93c2ca2ad94051d7e70adf av-styling- avia-align-center  avia-builder-el-0  el_before_av_heading  avia-builder-el-first '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" class='wp-image- avia-img-lazy-loading-not- avia_image ' src=\"https:\/\/bulentsekerel.com\/wp-content\/uploads\/2017\/05\/alerji-2-300x212.jpg\" alt='' title=''   itemprop=\"thumbnailUrl\"  \/><\/div><\/div><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_heading-e73f82096190b596744b0fba182f1cf9\">\n#top .av-special-heading.av-av_heading-e73f82096190b596744b0fba182f1cf9{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-av_heading-e73f82096190b596744b0fba182f1cf9 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-av_heading-e73f82096190b596744b0fba182f1cf9 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-av_heading-e73f82096190b596744b0fba182f1cf9 av-special-heading-h1  avia-builder-el-1  el_after_av_image  el_before_av_textblock '><h1 class='av-special-heading-tag'  itemprop=\"headline\"  >Alerjik Rinit Hakk\u0131nda S\u0131k Sorulan Sorular<\/h1><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n<section  class='av_textblock_section av-av_textblock-0366cc7376be6c9e82a3e9cc8987b64f'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p><strong>Alerjik rinit nedir, tan\u0131mlarm\u0131s\u0131n\u0131z? Bu hastal\u0131\u011f\u0131n \u00f6nemi nedir?<\/strong><\/p>\n<p>Rinit\u2019in dilimizdeki kar\u015f\u0131l\u0131\u011f\u0131 \u201cnezle\u201ddir. Ancak t\u0131bbi olarak burun i\u00e7ini kaplayan ve mukoza ismi verilen tabakan\u0131n \u201ciltihabl\u0131 olmas\u0131\u201d durumunu yans\u0131t\u0131r. Her ne kadar g\u00fcnl\u00fck kullan\u0131mda iltihap burunda bir infeksiyon varl\u0131\u011f\u0131n\u0131 d\u00fc\u015f\u00fcnd\u00fcrse de hekimler iltihab\u0131n mikrobik olabilece\u011fi gibi alerjik veya v\u00fccudumuzun hatal\u0131 bir davran\u0131\u015f\u0131 sonucu kendi organlar\u0131na sald\u0131rmas\u0131ndan da (otoimm\u00fcn) ileri gelebildi\u011fi bilirler. Burun mukozas\u0131ndaki bu iltihap burunda ak\u0131nt\u0131, aks\u0131r\u0131k, ka\u015f\u0131nt\u0131 ve t\u0131kan\u0131kl\u0131k gibi yak\u0131nmalara neden olur. \u00d6zetle nezlenin olu\u015fmas\u0131nda ba\u015fta mikrobik nedenler olmak \u00fczere alerjik, otoimm\u00fcn gibi ba\u015fka mekanizmalarda sorumlu olabilir.<\/p>\n<p>Bir ya da birden fazla alerjene kar\u015f\u0131 duyarl\u0131l\u0131\u011f\u0131 olan bir kimsede, alerjen ile kar\u015f\u0131la\u015fma halinde burunda ba\u015fl\u0131ca ak\u0131nt\u0131, aks\u0131r\u0131k, ka\u015f\u0131nt\u0131 ve t\u0131kan\u0131kl\u0131k \u015feklinde yak\u0131nmalar\u0131n olu\u015ftu\u011fu hastal\u0131k tablosu alerjik nezle olarak tan\u0131mlan\u0131r. Hastal\u0131\u011f\u0131n isminden de anla\u015f\u0131laca\u011f\u0131 gibi ki\u015finin bir alerjene duyarl\u0131 olmas\u0131 ve bu alerjen ile kar\u015f\u0131la\u015fman\u0131n o ki\u015fide nezle yak\u0131nmalar\u0131 olu\u015fturmas\u0131 gerekir. Burunda ak\u0131nt\u0131, aks\u0131r\u0131k, ka\u015f\u0131nt\u0131 ve t\u0131kanma her t\u00fcrl\u00fc nezle(rinit)\u2019nin bulgusu olabilir. Nezlesi olan bir ki\u015fide alerjik nezle te\u015fhisinin konulabilmesi i\u00e7in hem duyarl\u0131 olunan (alerjik olunan) bir madde g\u00f6sterilmesi hem de duyarl\u0131 olunan alerjenin nezle yak\u0131nmalar\u0131na yol a\u00e7t\u0131\u011f\u0131n\u0131n g\u00f6sterilmesi gerekir. Aksi durumda alerjik nezle tan\u0131s\u0131 konamaz.<\/p>\n<p>Alerjik rinit her ya\u015f grubunda en s\u0131k g\u00f6r\u00fclen kronik hastal\u0131klardan biridir. \u00dclkeden \u00fclkeye de\u011fi\u015fmekle birlikte toplumlarda alerjik nezle g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131n\u0131n %10 ile %25 aras\u0131nda de\u011fi\u015fti\u011fi tahmin edilmektedir. Devlet Planlama te\u015fkilat\u0131 projesi kapsam\u0131ndan ekibimizle ger\u00e7ekle\u015ftirdi\u011fimiz ara\u015ft\u0131rmalar T\u00fcrkiye\u2019nin de\u011fi\u015fik b\u00f6lgelerinde \u00e7ocuklar\u0131n hemen hemen \u00e7o\u011funun ya\u015fam\u0131nda bir veya daha fazla kez rinit yak\u0131nmas\u0131 oldu\u011fu ve %10-20 gibi bir oran\u0131nda alerjik nezleyi d\u00fc\u015f\u00fcnd\u00fcren yak\u0131nmalar oldu\u011funu saptad\u0131k. Ancak hastalar\u0131n %50\u2019e yak\u0131n bir oran\u0131 bu durumun varl\u0131\u011f\u0131ndan habersizdi. Ayr\u0131ca alerjik rinit rastlanma oran\u0131n\u0131n \u00e7ocukluk d\u00f6neminde ya\u015f b\u00fcy\u00fcd\u00fck\u00e7e artt\u0131\u011f\u0131n\u0131 ve en s\u0131k g\u00f6r\u00fclme ya\u015f\u0131n\u0131n ergenlik \u00e7a\u011f\u0131 ve gen\u00e7 eri\u015fkin ya\u015flar oldu\u011funu saptad\u0131k.<\/p>\n<p>\u201cNezle\u201d varl\u0131\u011f\u0131 ne yaz\u0131kki k\u00fc\u00e7\u00fcmsenen bir durumdur. \u00d6l\u00fcmc\u00fcl hastal\u0131klar d\u00fc\u015f\u00fcn\u00fcld\u00fc\u011f\u00fcnde bunun do\u011fru oldu\u011fu da s\u00f6ylenebilir. Ancak alerjik nezle burunda neden oldu\u011fu yak\u0131nmalar ile i\u015f yada okul ba\u015far\u0131s\u0131n\u0131n d\u00fc\u015fmesi, dikkat da\u011f\u0131n\u0131kl\u0131\u011f\u0131, konsantrasyon bozuklu\u011fu, uyku bozuklu\u011fu gibi sorunlara yol a\u00e7abilir. Bunlarda tahmin edilece\u011fi \u00fczere ya\u015fam kalitesinin \u00f6nemli derecede bozulmas\u0131 anlam\u0131 ta\u015f\u0131r. Nezlenin nas\u0131l bir sorun olu\u015fturdu\u011funu en iyi bebe\u011fi olan anneler bilirler. Burundan soluk al\u0131p vermeye g\u00f6re olu\u015fmu\u015f bir yap\u0131m\u0131z vard\u0131r ve burunda herhangi bir nedenle t\u0131kn\u0131kl\u0131k olu\u015ftu\u011funda bebekler i\u00e7in uyumak m\u00fcmk\u00fcn olmaz. Anneler; b\u00fct\u00fcn gece yatakda d\u00f6n\u00fcp durdu\u011funu, s\u00fcrekli uyan\u0131p a\u011flad\u0131\u011f\u0131n\u0131 ve \u201cm\u0131zm\u0131zland\u0131\u011f\u0131n\u0131\u201d s\u00f6ylerler. \u00c7ocuk ve eri\u015fkinlerde ise burun t\u0131kan\u0131kl\u0131\u011f\u0131 bebeklerdeki derece uyku sorunu olu\u015fturmasa da uyku kalitesinin bozulmas\u0131na ve ertesi sabah yeterince uzun uyunmam\u0131\u015f gibi bir duygu ile uyanmaya neden olur. San\u0131r\u0131m; nezlenin nas\u0131l bir sorun olu\u015fturdu\u011funu en iyi burnumuzu t\u0131kayarak uyumaya \u00e7al\u0131\u015ft\u0131\u011f\u0131m\u0131zda anlayabiliriz. Sona b\u0131rak\u0131lm\u0131\u015f olmakla birlikte nezlenin ayr\u0131ca sin\u00fczit, orta kulak iltihab\u0131 ve ast\u0131m hastal\u0131\u011f\u0131n\u0131n k\u00f6t\u00fcle\u015fmesi gibi etkileri de olabilir.\u00a0Hekimler burunu rahatlatma ile bu gibi hastal\u0131klar\u0131n hem \u015fiddetinde hem de kontrol\u00fcnde \u00f6nemli gel\u015fme sa\u011flayabildklerini bilmektedirler.<\/p>\n<p><strong>Alerjik rinitin \u00e7e\u015fitleri var m\u0131d\u0131r? Bunlar hakk\u0131nda bilgi veririmisiniz?<\/strong><\/p>\n<p>Alerjik riniti olan hastalarda; duyarl\u0131 olunan alerjenle kar\u015f\u0131la\u015fma s\u00fcresine ve de rinitin \u015fiddetine g\u00f6re de\u011fi\u015fen oranlarda yak\u0131nmalar olur. \u00d6rne\u011fin \u00e7ay\u0131r pollenlerine duyarl\u0131 olan bir ki\u015fide rinit yak\u0131nmalar\u0131 \u00e7o\u011funlukla ilkbahar sonu, yaz ba\u015f\u0131 gibi ortaya \u00e7\u0131kar. Bu sebeble bu hastalar \u201cMevsimsel alerjik rinitli\u201d olarak isimlendirilir. Oysa her an \u00e7evremizde bulunanan (ev tozu, kedi gibi) alerjenlere duyarl\u0131 olanlarda ise yak\u0131nmalar y\u0131l boyunca g\u00f6r\u00fcld\u00fc\u011f\u00fcnden bu ki\u015filer \u201cPerennial \u2013y\u0131l boyu s\u00fcren- alerjk rinitli\u201d olarak isimlendirilir.<\/p>\n<p><strong>Alerjik rinitin g\u00f6r\u00fcld\u00fc\u011f\u00fc belli bir ya\u015f d\u00f6nemi var m\u0131d\u0131r? Bu d\u00f6nem cinsiyete g\u00f6re de\u011fi\u015fir mi?<\/strong><\/p>\n<p>\u00d6nceden de k\u0131saca de\u011findi\u011fim \u00fczere alerjik rinite her ya\u015f grubunda rastlan\u0131r. Ancak alerjik duyarla\u015fman\u0131n geli\u015fmesi ya\u015fla artt\u0131\u011f\u0131ndan genellikle 2 ya\u015f\u0131ndan \u00f6nce g\u00f6r\u00fclmedi\u011fini ve 2 ya\u015ftan sonra giderek g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131n\u0131n artt\u0131\u011f\u0131n\u0131 s\u00f6ylemek yanl\u0131\u015f olmayacakt\u0131r. Ayr\u0131ca en s\u0131k g\u00f6r\u00fcld\u00fc\u011f\u00fc ya\u015f grubunu ergenlik \u00e7a\u011f ve gen\u00e7 eri\u015fkin ya\u015f d\u00f6nemleri oldu\u011fu bilinmektedir. Bu ya\u015fdan sonras\u0131nda ise hem bir grup alerjik rinitlide duyarl\u0131l\u0131k kaybolabildi\u011finden hem de yak\u0131nmalar\u0131n alg\u0131lanma e\u015fi\u011fi y\u00fckseldi\u011finden hastal\u0131k prevelas\u0131n\u0131n azald\u0131\u011f\u0131 kabul edilmektedir. Epidemiolojik \u00e7al\u0131\u015fmalar\u0131n bir\u00e7o\u011funda kad\u0131n cinsiyetin alerjik rinit g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 a\u00e7\u0131s\u0131ndan bir dezavantaj olu\u015fturdu\u011fu g\u00f6r\u00fclm\u00fc\u015ft\u00fcr, ancak bunun nedeni hakk\u0131nda kesin bilgi hen\u00fcz yoktur.<\/p>\n<p><strong>Alerjik rinitin belirtileri nelerdir?<\/strong><\/p>\n<p>Alerjik rinitli bir kimsede, alerjen ile kar\u015f\u0131la\u015fma halinde burunda ba\u015fl\u0131ca ak\u0131nt\u0131, aks\u0131r\u0131k, ka\u015f\u0131nt\u0131 ve t\u0131kan\u0131kl\u0131k \u015feklinde yak\u0131nmalar\u0131n olu\u015fmaktad\u0131r. Ayr\u0131ca burunda neden oldu\u011fu yak\u0131nmalar ile i\u015f yada okul ba\u015far\u0131s\u0131n\u0131n d\u00fc\u015fmesi, dikkat da\u011f\u0131n\u0131kl\u0131\u011f\u0131, konsantrasyon bozuklu\u011fu, uyku bozuklu\u011fu gibi sorunlara da yol a\u00e7abilir. Alerjik rinitin sin\u00fczit, orta kulak iltihab\u0131 ve ast\u0131m hastal\u0131\u011f\u0131n\u0131n k\u00f6t\u00fcle\u015fmesi gibi etkileri de olabilir. Biz hekimler burunun rahatlat\u0131lmas\u0131 ile bu gibi hastal\u0131klar\u0131n hem \u015fiddetinde hem de kontrol\u00fcnde \u00f6nemli yarar sa\u011flayabildi\u011fimizi biliriz.<\/p>\n<p><strong>Hastal\u0131\u011f\u0131n tan\u0131s\u0131nda kullan\u0131lan y\u00f6ntemlerden s\u00f6zeder misiniz?<\/strong><\/p>\n<p>Alerjik rinit tan\u0131s\u0131nda kullan\u0131lan alt\u0131n bir standart (yani tetkik) yoktur. Hastal\u0131\u011f\u0131n isminden de anla\u015f\u0131laca\u011f\u0131 gibi ki\u015finin bir alerjene duyarl\u0131 olmas\u0131 ve bu alerjen ile kar\u015f\u0131la\u015fman\u0131n o ki\u015fide nezle yak\u0131nmalar\u0131 olu\u015fturmas\u0131 gerekir. Burunda ak\u0131nt\u0131, aks\u0131r\u0131k, ka\u015f\u0131nt\u0131 ve t\u0131kanma her t\u00fcrl\u00fc nezle(rinit)\u2019nin bulgusu olabilir. Nezlesi olan bir ki\u015fide alerjik nezle te\u015fhisinin konulabilmesi i\u00e7in hem duyarl\u0131 olunan (alerjik olunan) bir madde g\u00f6sterilmesi hem de duyarl\u0131 olunan alerjenin nezle yak\u0131nmalar\u0131na yol a\u00e7t\u0131\u011f\u0131n\u0131n g\u00f6sterilmesi gerekir. Aksi durumda alerjik rinit tan\u0131s\u0131 konamaz.<\/p>\n<p>Ancak t\u00fcm d\u00fcnyada oldu\u011fu gibi \u00fclkemizde de alerji testlerinin yap\u0131ld\u0131\u011f\u0131 merkez say\u0131s\u0131 k\u0131s\u0131tl\u0131d\u0131r. Her an her yerde alerji testlerini yapmak m\u00fcmk\u00fcn de\u011fildir. Bu sebeple neye duyarl\u0131 olundu\u011fu g\u00f6sterilmeden tedaviye ba\u015flanabilir. \u0130vedilikle yak\u0131nmalar\u0131n ila\u00e7lar ile kontrol alt\u0131na al\u0131nmas\u0131 ve hastan\u0131n ya\u015fam kalitesinin geri kazand\u0131r\u0131lmas\u0131 hekimlerin birincil \u00f6nceli\u011fidir. Ancak tan\u0131dan \u015f\u00fcphe duyuldu\u011fu durumlarda \u00f6nce testlerin yap\u0131l\u0131p sonra tedaviye ba\u015flanmas\u0131 tercih edilebilir.\u00a0Alerji testleri hastan\u0131n neden nas\u0131l ka\u00e7\u0131naca\u011f\u0131n\u0131 \u00f6\u011frenmesi a\u00e7\u0131s\u0131ndan \u00f6nemlidir. Alerji kliniklerinde alerjik olmad\u0131\u011f\u0131 halde alerjik riniti varm\u0131\u015f gibi tedavi edilen hastalara giderek artan oranlarda rastlanmaktad\u0131r. Bu ba\u011flamda yetersiz tedavinin yan\u0131s\u0131ra a\u015f\u0131r\u0131 tedavi edilen bir grubun varl\u0131\u011f\u0131ndan s\u00f6zetmek yanl\u0131\u015f olmayacakt\u0131r. Burun sekresyonunun incelemesinde eozinofil dedi\u011fimiz alerji askerlerinin g\u00f6sterilmesi, buruna alerjen p\u00fcsk\u00fcrt\u00fcld\u00fc\u011f\u00fcnde rinit yak\u0131nmalar\u0131n\u0131n ba\u015flamas\u0131, burun mukozas\u0131ndan al\u0131nan biopsinin incelenmesi te\u015fhis amac\u0131yla rutin olarak kullan\u0131lmayan ama sorunlu baz\u0131 olgularda ba\u015fvurulabilen di\u011fer y\u00f6ntemlerden baz\u0131lar\u0131d\u0131r.<\/p>\n<p><strong>\u0130la\u00e7 tedavisinde hangi ila\u00e7 gruplar\u0131 kullan\u0131lmaktad\u0131r? Bu ila\u00e7lar\u0131n etki mekan\u0131zmalar\u0131 i\u00e7in neler s\u00f6yleyebilirsiniz? \u0130la\u00e7 tedavisi kesin \u00e7\u00f6z\u00fcm sa\u011flar m\u0131?<\/strong><\/p>\n<p>Alerjik rinit tedavisinde kullan\u0131lan ila\u00e7lar a\u011f\u0131zdan veya burundan uygulan\u0131r. Uygulama yollar\u0131n\u0131n kendilerine \u00f6zg\u00fc olumlu ve olumsuz y\u00f6nleri vard\u0131r. Burun yolu ile uygulanan ila\u00e7lar do\u011frudan hedef b\u00f6lgeye uygulanabilirken, daha az doz ila\u00e7 kullanmak, sistemik yan etkilerden sak\u0131nmak ve daha \u00e7abuk etki elde etmek m\u00fcmk\u00fcn olur. A\u011f\u0131z yolu ile uygulamalarda ise ilac\u0131n sistemik etkisi alerjik g\u00f6z nezlesi gibi di\u011fer yak\u0131nmalar\u0131nda kontrol\u00fcne katk\u0131 sa\u011flamakta, ila\u00e7 burun mukozan\u0131n t\u00fcm b\u00f6lgelerine buruna uygulananlara g\u00f6re daha iyi ula\u015fmakta, buruna uygulanan ila\u00e7lar\u0131n neden oldu\u011fu irritasyon ve burun kanamas\u0131 gibi yan etkilere neden olmamakta ve de burun t\u0131kan\u0131kl\u0131\u011f\u0131nda dahi uygulanabilir olmaktad\u0131r.<\/p>\n<p>Alerjik rinit tedavisinde kullan\u0131lan ila\u00e7 gruplar\u0131 antihistaminler, glukokortikoidler (kortizon), kromonlar, dekonjestanlar, antikolinerjikler ve antil\u00f6kotrienlerdir. Her bir ilac\u0131n yak\u0131nmalar\u0131 kontrol edebilme \u00f6zellikleri de\u011fi\u015fiklikler g\u00f6sterir. \u00d6rne\u011fin antihistaminler ak\u0131nt\u0131, ka\u015f\u0131nt\u0131 ve aks\u0131r\u0131k \u00fczerine etkili iken dekonjestanlar sadece t\u0131kan\u0131kl\u0131k \u00fczerine de\u00a0etkilidirler. Hekimler alerjik rinitli bir hasta ile kar\u015f\u0131la\u015ft\u0131klar\u0131nda \u00f6ncelikle hastan\u0131n yak\u0131nmalar\u0131n\u0131n spektrumunu, hastal\u0131k \u015fiddetini ve s\u00fcresini belirleyerek bir tedavi \u00f6nerirler.\u00a0Ancak rinit yak\u0131nmalar\u0131n\u0131n s\u00fcresi, hasta ya\u015f\u0131, hastan\u0131n tercihi, tedavi uyuncu, ila\u00e7lar\u0131n olas\u0131 istenmeyen etkileri ve klinik tabloya egemen olan yak\u0131nmalar gibi de\u011fi\u015fkenler g\u00f6z\u00fcn\u00fcne al\u0131narak ba\u015fka yakla\u015f\u0131mlar da \u00f6nerilebilir. Mevcut medikal tedaviler hastal\u0131\u011f\u0131 etkin bir \u015fekilde kontrol alt\u0131na alabilirler ve hasta da olu\u015fturdu\u011fu sorunlar\u0131 b\u00fcy\u00fck oranda ortadan kald\u0131rabilirler. Ancak hastal\u0131\u011f\u0131 k\u00fcr edemezler (tamamen ortadan kald\u0131ramazlar).<\/p>\n<p><strong>Alerjik rinitten korunma y\u00f6ntemleri neler olabilir?<\/strong><\/p>\n<p>Alerjik rinitli bir hastan\u0131n ilk a\u015famada hangi maddeye kar\u015f\u0131 alerjisi varsa o maddeden nas\u0131l ka\u00e7\u0131naca\u011f\u0131n\u0131 \u00f6\u011frenmesi ve o \u00f6nlemleri almas\u0131 gerekir. Alerjistler her alerjen i\u00e7in o alerjene y\u00f6nelik \u00f6zg\u00fcl sak\u0131nma y\u00f6ntemleri \u00f6nerirler. Bu \u00f6neriler hastadan hastaya hastal\u0131\u011f\u0131n \u015fiddeti ile ili\u015fkili olarak de\u011fi\u015fkenlik g\u00f6sterebilir. Ne yaz\u0131kki hastalar\u0131m\u0131z\u0131n bir\u00e7o\u011fu medyada duyurulan her \u00f6nlemi almaya \u00e7al\u0131\u015fmaktalar. Oysa bu \u00f6nlemlerin \u00e7o\u011funlu\u011funun hem etkinli\u011fi g\u00f6sterilmemi\u015ftir hem de kendilerine \u00f6nemli bir ekonomik y\u00fck getirdi\u011fini sonradan anlamaktad\u0131rlar. Alerjenden sak\u0131nma, yak\u0131nmalar\u0131n olu\u015fmas\u0131n\u0131 b\u00fcy\u00fck oranda kontrol edebilir. Ayr\u0131ca alerjik rinitli hastalarda kesif ve yo\u011fun kokular, irritanlar ve infeksiyonlar da yak\u0131nmalar\u0131n hem yo\u011funla\u015fmas\u0131na hem de uzamas\u0131na neden olabilirler. Bu etkenlerden m\u00fcmk\u00fcn oldu\u011funca ka\u00e7\u0131nmak gerekir.<\/p>\n<p><strong>Alerjk rinit tedavisinde imm\u00fcnoterapi i\u00e7in ne d\u00fc\u015f\u00fcn\u00fcyorsunuz?<\/strong><\/p>\n<p>\u0130mm\u00fcnoterapi tedavisi; hastan\u0131n duyarl\u0131 oldu\u011fu alerjenin giderek artan dozlarda v\u00fccuda enjekte edilmesine dayanan ve ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin alerjene verdi\u011fi tepkilerin azalt\u0131lmas\u0131n\u0131 hedefleyen bir y\u00f6ntemdir. Bu tedavi bi\u00e7imi genelde hastal\u0131k kontrol\u00fcn\u00fc artt\u0131rsa bile k\u00fcr edemez (ortadan kald\u0131ramaz). \u0130mm\u00fcnoterapi yap\u0131lma karar\u0131 ve nas\u0131l yap\u0131laca\u011f\u0131 konu hakk\u0131nda uzmanl\u0131k(ihtisas) e\u011fitimi alm\u0131\u015f alerjistler taraf\u0131ndan verilmelidir.<\/p>\n<p><strong>Eklemek istedi\u011finiz ba\u015fka noktalar var m\u0131?<\/strong><\/p>\n<p>Alerjik nezle tedavisi ba\u015fta alerji uzmanlar\u0131 olmak \u00fczere pratisyen hekimler, aile hekimleri pediatri uzmanlar\u0131, dahiliyeciler, g\u00f6\u011f\u00fcs hastal\u0131klar\u0131 uzmanlar\u0131 ve kulak burun bo\u011faz hastal\u0131klar\u0131 uzmanlar\u0131 taraf\u0131ndan yap\u0131lmaktad\u0131r. Tedavinin yetersiz kald\u0131\u011f\u0131 durumlarda hastalar\u0131n ileri tedaviler i\u00e7in alerji uzmanlar\u0131 taraf\u0131ndan incelenmesi gerekebilir. Ancak ila\u00e7 tedavilerin hastalar\u0131n b\u00fcy\u00fck bir oran\u0131n\u0131 kontrol etti\u011fi bilinmelidir. \u0130mm\u00fcnoterapi yetersiz kontroll\u00fc hastalar yan\u0131nda ast\u0131m geli\u015fme riskini azaltmak i\u00e7in de uygulanabilmektedir. Ancak gereksiz tedavilerden ka\u00e7\u0131nmak i\u00e7in imm\u00fcnoterapiden yarar g\u00f6recek do\u011fru hastan\u0131n se\u00e7imi \u00f6nemlidir. Bu ama\u00e7la deneyimli ve yetkin merkezlere ba\u015fvurulmas\u0131 gerekir.<\/p>\n<p><em>Dikkat: Bu yaz\u0131 Dr B\u00fclent \u015eekerel taraf\u0131ndan haz\u0131rlanm\u0131\u015f olup kaynak g\u00f6sterilmeden kullan\u0131lamaz.<\/em><\/p>\n<\/div><\/section>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Alerjik Rinit Hakk\u0131nda S\u0131k Sorulan Sorular - Prof. Dr. B\u00fclent Enis \u015eekerel<\/title>\n<meta name=\"description\" content=\"Prof. Dr. B\u00fclent Enis \u015eekerel&#039;in haz\u0131rlad\u0131\u011f\u0131, &quot;Alerjik Rinit Hakk\u0131nda S\u0131k Sorulan Sorular&quot; ba\u015fl\u0131kl\u0131 yaz\u0131ya buradan ula\u015fabilirsiniz.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/bulentsekerel.com\/index.php\/alerjik-rinit-hakkinda-sik-sorulan-sorular\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Alerjik Rinit Hakk\u0131nda S\u0131k Sorulan Sorular - Prof. Dr. B\u00fclent Enis \u015eekerel\" \/>\n<meta property=\"og:description\" content=\"Prof. Dr. B\u00fclent Enis \u015eekerel&#039;in haz\u0131rlad\u0131\u011f\u0131, &quot;Alerjik Rinit Hakk\u0131nda S\u0131k Sorulan Sorular&quot; 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